by James C. Sherlock
DD/ID (Intellectual and Developmental Disabilities) refers to services, supports, and classifications for individuals with cognitive, physical, or emotional impairments. ย The authorโs first three articles on this subject provided background on Virginiaโs broken system of services to that population. In many instances, it doesn’t work well due to combinations of oversight failures and unethical or incompetent providers. But overall, the system struggles due to its design. The Commonwealth has shared and devolved authority and responsibility for oversight of services for the DD/ID population beyond any reasonable expectation of effectiveness. ย
When everyone is in charge, no one is. ย
This series has focused on the Virginia Departments of Behavioral Health and Disability Services and of Medical Assistance Services. But there is also local responsibility across 40 Community Services Boards (CSBs) and a single Behavioral Health Authority. See a first-person account from a veteran of a citizensโ advisory board to one of those CSBs, Lefty 665. He speaks more eloquently about the problems in CSBs than anyone this author has read.
Portsmouth
Portsmouth has made its community services board (CSB) a department of the city government. ย Its mission statement:
The mission of the Portsmouth Department of Behavioral Healthcare Services is to promote independence, recovery, and positive outcomes for those we serve, through excellence in the delivery of integrated Mental Health, Intellectual Disability, and Substance Abuse, and Co-Occurring services.
It has all gone horribly wrong there.
The City of Portsmouth sends โclientsโ screened by its Behavioral Healthcare Services department to local providers of incredibly dangerous โservices” to developmentally and intellectually disabled children, adolescents, and adults. ย The dangers are catalogued in heartbreaking state and federal inspection records. ย
Government officials need only read them. ย They will get an opportunity in this series.














